Chinese Journal of Blood Purification ›› 2016, Vol. 15 ›› Issue (06): 375-377.doi: 10.3969/j.issn.1671-4091.2016.06.015

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Current status of hemodialysis in Xinjiang

  

  • Received:2016-03-24 Revised:2016-04-08 Online:2016-06-12 Published:2016-06-19

Abstract: Objective To introduce the current status of hemodialysis in Xinjiang in order to provide an objective basis for the improvement of hemodialysis treatment. Methods We investigated all of the hospitals providing hemodialysis treatment in Xinjiang by using field survey method. We collected the data about dialysis equipments, medical staffs and number of hemodialysis patients, summarized the information about online registered hemodialysis patients during 2013~2014, and then performed an integrated analysis. Results There are totally 82 medical institutions providing hemodialysis treatment, covering all state cities and 63% of county-level hospitals. These medical institutes can meet the demand of hemodialysis for 80% population in Xinjiang. 90% of counties with >100,000 residences provide hemodialysis treatment. By May 2015, there are 3,202 MHD patients, of whom 70% receive hemodialysis in state hospitals or county hospitals. The hemodialysis ratio in Xinjiang is 158/1,000,000 population, but the ratio is <100/1,000,000 population in Kashi, Hotan, Aksu, Hami and Tacheng districts. In hemodialysis patients, the infections of hepatitis B, hepatitis C, syphilis, HIV/AIDS are 7.3%, 6.8%, 1.9% and 0.3% respectively. A total of 192 physicians are working for hemodialysis, and 94 of them have got the professional training certificate. A total of 498 nurses engage in hemodialysis, and 276 of them have got the professional training certificate. A total of 58 engineers are working for hemodialysis, and 22 of them have got the professional training certificate. Conclusions A hemodialysis treatment system has been established in Xinjiang Uygur Autonomous Region. This system can meet the demand of 80% patients that need hemodialysis. The quality of hardware for hemodialysis in the hospitals also meets the national standards. However, the ratio of medial workers being trained and educated with the professional of hemodialysis is still lower, suggesting great demands for continuing training and education.

Key words: Hemodialysis, Hemodialysis patient, Human resources, Dialysis equipment